Journal Title : Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Initials : Anestesi Frequency : Januari, April, Juli dan Oktober Print ISSN : 2986-7886 Online ISSN : 2986-7045 Editor in Chief : Nanang Khosim Azhari, M.Kep.,Sp.Kep.J DOI:10.59680 Publisher : STIKES KESDAM IV/DIPONEGORO Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran, ISSN: 2986-7886 (cetak), ISSN: 2986-7045 (Online) Jurnal Ilmu Kesehatan dan Kedokteran menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi dokter, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu Kesehatan dan Kedokteran. Jurnal ini terbit 1 tahun 4 kali (Januari, April, Juli dan Oktober). Jurnal ini terakreditasi SINTA 4 (SK Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 10/C/C3/DT.05.00/2025 tanggal 7 April 2026, tentang Pemberitahuan Hasil Akreditasi Jurnal Ilmiah Periode 2 Tahun 2025), dimulai dari Volume 1 Nomor 3 Tahun 2023 sampai Volume 6 Nomor 2 Tahun 2028. Indexed by:
Stikes Kesdam IV/Diponegoro Semarang, Indonesia
Penerapan Terapi Musik Klasik pada Pasien Halusinasi Pendengaran
Hallucinations are one of the mental disorders where patients experience sensory perception disorders, feeling false sensations in the form of sounds, touch, sight, and smell. The type of hallucination most commonly experienced is auditory hallucination. One of the efforts made to reduce the signs and symptoms of auditory hallucinations is through classical music therapy. A descriptive study design was used to describe the cases of four patients with auditory hallucinations. The intervention consisted of classical music therapy for five days, lasting 10-15 minutes per session for each respondent. After implementing classical music therapy for 5 days, with each session lasting 10-15 minutes, there was a decrease in hallucination scores as indicated by the AHRS observation sheets for each patient. There was a decrease in auditory hallucination scores in each patient after being given classical music therapy. Classical music therapy can be a nonpharmacological therapy to reduce hallucination scores in patients with auditory hallucinations.
Copyright (c) 2026 Jurnal Anestesi https://creativecommons.org/licenses/by-sa/4.0
Karakteristik Pasien Epilepsi di RSUD Dr. M. Haulussy Ambon Tahun 2021
Epilepsy is a disease that occurs characterized by at least two unprovoked seizures or two reflex reflexes with a time interval between the first and second seizures of 24 hours. Epilepsy pathophysiology briefly results from an imbalance between excitatory and inhibitory neurotransmitters. The purpose of this study was to describe the characteristics of epilepsy patients at RSUD Dr. M. Haulussy Ambon in 2021 based on gender, age, type of seizure, etiology and type of OAE therapy. This research was conducted at RSUD Dr. M. Haulussy Ambon using medical record data of patients with epilepsy. This research is a descriptive research method. In this study, the number of patients with epilepsy based on medical record data was 52 people. There were 33 cases of epilepsy in men (63%) and 19 people (37%) who were female. The number of cases was more in late teens 17-25 years and late adults 36-45 years, each of which was 11 people (21%), dominated by types of generalized seizures, which were 39 cases (75%), with idiopathic etiology as many as 32 cases (62%), and more using monotherapy as many as 28 cases (54%).
Penerapan Foot Massage terhadap Tingkat Fatique Pasien CKD on HD
Renal replacement therapy can be done in CKD patients, one of which is hemodialysis therapy, one of the complaints felt by CKD patients both before and after hemodialysis therapy is fatigue, Fatigue can be caused by anemia, uremia syndrome and stress, Foot massage therapy is a non-pharmacological therapy that has the potential to reduce Fatigue levels in CKD patients on HD. The purpose of this scientific paper is to determine changes in Fatigue levels before and after foot massage therapy in CKD patients on HD. The design of this scientific paper is a type of research with a pre-test post-test case study design. Respondent 1, age 31 years, unemployed, HD duration 6 months, vocational high school education level, the results of this scientific work are Respondent 2, age 50 years, high school education, self-employed, HD duration 3 months, respondent 3, age 27 years, high school education, private employee occupation, HD duration 2 years, from the three respondents there are changes in Fatique levels before and after foot massage therapy 3 times for 15 minutes each treatment. From the three respondents, fatigue levels decreased from moderate to mild before foot massage therapy. Therefore, it can be concluded that there was a decrease in fatigue levels before and after foot massage therapy in CKD patients on HD.
Analisa Kadar Asam Urat pada Pasien Gagal Ginjal Kronik (GGK) di RSU Hidayah Deli Tua
Chronic kidney disease (CKD) is a condition characterized by a decline in kidney function, causing the kidneys to lose their ability to filter metabolic waste and maintain the balance of body fluids and electrolytes. One of the metabolic waste products that may increase in patients with CKD is uric acid, which is the final product of purine metabolism and is normally excreted through the kidneys. This study aimed to determine the uric acid levels in patients with chronic kidney disease at Hidayah General Hospital, Deli Tua. This research used a descriptive cross-sectional design. The sample consisted of 20 CKD patients who were hospitalized at Hidayah General Hospital, Deli Tua, during March–April 2023. The results showed that most patients experienced increased uric acid levels, including 13 female patients (60%) and 7 male patients (35%), while 1 female patient (5%) had normal uric acid levels. It can be concluded that the majority of chronic kidney disease patients had elevated uric acid levels, which is associated with impaired glomerular filtration so that the kidneys are unable to optimally excrete metabolic waste.
Efektivitas Yoga dalam Menurunkan Berat Badan pada Akseptor KB Suntik 3 Bulan
Gaining weight is sometimes associated with hormonal contraception, particularly the 3-month injectable form (Depo Medroxyprogesterone Acetate/DMPA), because to changes in hormone levels and metabolic irregularities. Since this condition may increase the risk of non-communicable disorders, safe and effective non-pharmacological therapy are required. One potential tactic is yoga, which combines physical activity with breathing techniques and relaxation. Finding out if yoga aided weight loss for people in Tondomulyo Village, Jakenan District, Pati Regency who had used injectable contraceptives for three months was the goal of this study.In this study, which used a pre- and post-test approach, there was no control group. Thirty individuals were selected using purposive selection and fulfilled the inclusion criteria, which included taking injectable contraception for a minimum of six months and having gained weight. Yoga classes were part of the intervention for eight weeks; they met three times a week for thirty minutes each session. Before and after the intervention, the individuals' weights were recorded. For this research, we utilized a paired t-test and set the significance threshold at 0.05. The results showed that the average body weight decreased by 2.4 kg, from 66.2 kg to 63.8 kg. A statistical research with a p-value of 0.000 (p < 0.05) shown that yoga significantly aids in weight reduction. People who are willing to use injectable contraceptives have found that yoga, an activity that does not involve pharmaceuticals, helps them lose weight.
Penerapan Active Cycle of Breathing Techniques (ACBT) untuk Mengatasi Bersihan Jalan Napas pada Pasien PPOK di Instalasi Gawat Darurat
Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease characterized by persistent airflow limitation and excessive mucus production, often leading to ineffective airway clearance, a common problem for patients presenting to the Emergency Department (ED). The Active Cycle of Breathing Techniques (ACBT) is a non-pharmacological intervention designed to improve mucus clearance and breathing patterns. This scientific paper aims to describe the application of ACBT in improving airway clearance in COPD patients. The method used was a qualitative case study with a nursing care approach involving three COPD patients with ineffective airway clearance at the Emergency Department of Charitas Hospital Palembang from January to February 2026. The intervention consisted of applying the ACBT cycle, which includes breathing control, thoracic expansion exercises, and the forced expiration technique (huffing), combined with effective coughing. Airway clearance was assessed before and after the intervention. The results showed that the application of ACBT led to significant improvements in all three patients, marked by enhanced cough effectiveness, reduced sputum production, decreased dyspnea, a more stable respiratory rate, and diminished adventitious breath sounds. This evidence-based practice is expected to provide valuable information on the use of ACBT as an independent nursing intervention for managing ineffective airway clearance in COPD patients in the acute care setting.
Chronic Dysphagia due to Esophageal Stenosis with Tracheoesophageal Fistula and Foreign Body Impaction: Case Report
Chronic dysphagia is a common clinical complaint frequently associated with structural abnormalities of the esophagus. Esophageal stenosis is an important cause of chronic dysphagia and increases the risk of foreign body impaction. This condition may be related to underlying pathological processes, including tracheoesophageal fistula (TEF). Mr. A, 38-year-old man presented with chronic dysphagia for one year accompanied by dysphonia. Due to persistent swallowing difficulty, the patient developed a habit of ingesting passion fruit seeds to facilitate food intake. An endoscopic examination performed six months earlier overseas revealed mid-to-distal esophageal stenosis, and a gastrostomy was performed. Abdominal CT scan and chest radiography showed no abnormalities. The patient later presented with acute symptoms due to mangosteen seed impaction in the esophagus. He had a history of pulmonary tuberculosis and had completed antituberculosis therapy. Esophagography demonstrated a tracheoesophageal fistula. This case illustrates esophageal stenosis with TEF as a cause of chronic dysphagia and a predisposing factor for foreign body impaction, possibly related to chronic post-tuberculous inflammation. Management requires a multidisciplinary approach. Endoscopic dilation is the primary therapy for esophageal stenosis, while surgery is definitive for benign.
Formulasi dan Evaluasi Sediaan Topikal Nanogel Mengandung Zinc Oxide Nanopartikel Ekstrak Air Kulit Duku (Lansium domesticum Corr) dan Aktivitas sebagai Antimikroba
Skin infections caused by pathogenic microorganisms such as Candida albicans and Staphylococcus aureus remain a significant health problem. The excessive use of conventional antimicrobial agents may lead to microbial resistance, therefore alternative therapies that are safer and more effective are needed. This study aimed to formulate and evaluate a topical nanogel preparation containing zinc oxide (ZnO) nanoparticles and aqueous extract of duku peel (Lansium domesticum Corr.) and to determine its antifungal activity against Candida albicans. The research was conducted using an experimental method which included characterization of simplicia, phytochemical screening, extraction using the infusion method, formulation of nanogel with extract concentrations of 2%, 4%, and 6%, particle size analysis using a Particle Size Analyzer (PSA), and antifungal activity testing using the well diffusion method. The characterization results of the simplicia met the standards of Materia Medika Indonesia, while phytochemical screening indicated the presence of secondary metabolites such as alkaloids, flavonoids, tannins, saponins, steroids/triterpenoids, and glycosides. The PSA results showed that the nanogel particle size ranged from 35.85–48.45 nm, indicating that the formulation belongs to the nanoparticle system. The antifungal activity test demonstrated that all nanogel formulations were able to inhibit the growth of Candida albicans, with average inhibition zone diameters of 17.16 mm (2%), 17.22 mm (4%), and 18.84 mm (6%). In conclusion, the nanogel containing ZnO nanoparticles and aqueous extract of duku peel showed good physical characteristics and demonstrated potential antifungal activity, indicating its potential development as a topical preparation for the treatment of fungal skin infections.
Hand, Foot and Mouth Disease (Flu Singapore) pada Balita Usia 1 Tahun
Hand, Foot, and Mouth Disease (HFMD) is an acute and contagious viral infection that commonly affects children, especially those under 5 years of age. A 1-year-old male patient presented to the Dermatology Clinic at Cut Meutia General Hospital with the primary complaint of watery blisters on his hands, feet, and mouth, accompanied by fever and loss of appetite. These watery blisters first appeared one week before admission and have worsened over the past three days, spreading rapidly and rupturing easily. The patient has also experienced fluctuating fever over the past three days, loss of appetite, and red spots on the back. The patient lives in an environment where he frequently interacts with neighborhood children and has poultry kept near the house. Dermatological findings: The oral region showed multiple vesicles on the tongue mucosa with an erythematous base; some lesions had ruptured, forming shallow erosions. The upper extremities showed vesicles and erythematous papules with well-defined borders, ranging in size from lenticular to nummular, distributed in multiple clusters; some had a whitish center and were scattered across the extensor surfaces of the arms. The lower extremities show multiple erythematous vesicles of lenticular size; some exhibit hyperpigmented macules from old lesions with indistinct borders. The thoracic and dorsal regions show erythematous macules and multiple small papules; some exhibit post-inflammatory hyperpigmentation. The patient was prescribed steroid medication, specifically Fusycom cream, cefixime syrup, and cetirizine syrup
Implementasi Ergostretch dan Administrative Control sebagai Multifaceted Ergonomic Intervention: Strategi Mitigasi Risiko Muskuloskeletal pada Teknisi Pest Control
Musculoskeletal Disorders (MSDs) are a persistent occupational health issue in the pest control sector due to intensive physical activity and non-neutral working postures. This study aims to evaluate the impact of ergonomic interventions that integrate educational, administrative, and physical aspects on MSDs risk among field technicians at CV. X Indonesia, Samarinda. Using a pre-post test design with a cross-sectional approach, this research involved 7 field technicians as subjects. Assessment instruments included the HIRADC method for hazard mapping, the Nordic Body Map (NBM) questionnaire to measure physical complaints, and work equipment evaluation based on biomechanical principles. Interventions implemented consisted of interactive safety briefings, the installation of educational posters, the development of ergonomic Standard Operating Procedures (SOPs), and a structured stretching program called ErgoStretch. Statistical analysis using the Paired Sample T-Test showed a significant increase in technicians' knowledge scores by 45.63% (from a mean of 67.5 to 98.3 with p < 0.05). Qualitatively, the ErgoStretch program and SOP standardization successfully provided an immediate physiological impact by reducing muscle tension and improving working postures while operating heavy equipment such as thermal foggers. Although the overall ergonomic risk remains in the moderate category, this low-cost ergonomics strategy effectively created a more controlled work system and mitigated the risk of accumulating permanent injuries such as Carpal Tunnel Syndrome (CTS).
Penentuan Kadar Total Fenol dan Uji Aktivitas Antioksidan Ekstrak Etanol Daun Mindi (Melia azedarach L.) dengan Metode DPPH
Free radicals are reactive molecules that can trigger oxidative stress and contribute to the development of various degenerative diseases. One approach to overcoming the harmful effects of free radicals is the utilization of natural antioxidants derived from medicinal plants. Mindi leaves (Melia azedarach L.) are known to contain various secondary metabolites that have potential antioxidant activity. This study aimed to determine the total phenolic content and evaluate the antioxidant activity of the ethanol extract of mindi leaves using the DPPH method. This research was conducted as an experimental laboratory study involving several stages, including simplisia characterization, phytochemical screening, thin-layer chromatography (TLC) analysis, determination of total phenolic content using the Folin–Ciocalteu method, and antioxidant activity testing using the DPPH method with a UV–Vis spectrophotometer. The results of simplisia characterization showed that all parameters met the requirements of the Indonesian Herbal Pharmacopoeia. Phytochemical screening indicated the presence of alkaloids, flavonoids, saponins, tannins, phenols, and steroids/terpenoids.
Hubungan Status Gizi dan Kelengkapan Imunisasi dengan Kajadian Infeksi Saluran Pernapasan Akut pada Balita di Puskesmas Minasa UPA Kota Makassar Tahun 2022
Acute Respiratory Tract Infection (ARI) remains a major health problem in toddlers, with high morbidity rates, especially in developing countries. Nutritional status and immunization completeness are suspected factors contributing to the incidence of ARI. This study aims to analyze the relationship between nutritional status and the completeness of pentavalent immunization (DPT-HB-Hib) with the incidence of ARI in toddlers at the Minasa Upa Community Health Center in Makassar City in 2022. This study used a quantitative method with an observational analytical design using a cross-sectional approach. The sample consisted of 106 toddlers aged 12–59 months selected using a purposive sampling technique. Data were obtained from medical records and immunization books and then analyzed using the Chi-square test in SPSS. The results showed that of the 106 respondents, 71 toddlers (67%) experienced ARI. Toddlers with poor nutritional status mostly experienced ARI (90.9%), while those with good nutritional status experienced ARI (50%). Statistical tests showed a significant relationship between nutritional status and the incidence of ARI (p-value = 0.000; PR = 10.000; 95% CI: 3.192–31.331), meaning that toddlers with poor nutritional status were 10 times more likely to experience ARI than toddlers with good nutritional status. Furthermore, toddlers with incomplete pentavalent immunizations were the most likely to experience ARI (83.7%). There was a significant relationship between immunization completeness and ARI incidence (p-value = 0.002; PR = 4.114; 95% CI: 1.591–10.638), indicating that toddlers with incomplete immunizations were 4.1 times more likely to experience ARI than toddlers with complete immunizations. It was concluded that nutritional status and immunization completeness significantly correlate with the incidence of ARI in toddlers. Efforts to improve nutritional status and complete basic immunization coverage need to be optimized to reduce the incidence of ARI in toddlers.
The Influence of Job Demands and Work Stress on Prenatal Mental Health Among Pregnant Employees: A Cross-Sectional Study
Mental health during pregnancy is a crucial aspect affecting maternal well-being and fetal development. Pregnant women who remain actively employed may experience various work-related pressures that can impact their psychological well-being. Work environment factors such as job demands and job stress can increase the risk of emotional problems during pregnancy. However, research examining these factors among pregnant employees is limited. This study aims to analyze the influence of job demands and job stress on prenatal mental health among pregnant employees. This study was conducted in Batam City Regency and involved 80 pregnant employees who met the inclusion criteria. A quantitative study with a cross-sectional design was used. Data were collected using a structured questionnaire consisting of the Job Content Questionnaire to measure job demands, the Perceived Stress Scale to assess job stress, and the Edinburgh Postnatal Depression Scale to evaluate prenatal mental health. Data analysis was performed using multiple linear regression. The results showed that job demands and job stress affected prenatal mental health among pregnant employees, with job stress showing a stronger influence. Higher levels of job pressure and stress were associated with increased psychological distress during pregnancy. These findings highlight the importance of supportive workplace policies, workload adjustments, and stress management programs to improve the mental well-being of pregnant workers and support nursing practice in maternal health care.
Perbandingan Keamanan Midazolam dan Propofol sebagai Agen Sedasi pada Prosedur Medis
Procedural sedation is used to enhance patient comfort and the success of medical procedures. Midazolam and propofol are the most commonly used sedative agents, each with a distinct safety profile. The objective of this study is to compare the safety profiles of midazolam and propofol in the context of medical procedures. This study employs a systematic literature review approach based on the PRISMA guidelines. The literature search was conducted via PubMed, ScienceDirect, and Google Scholar from 2015 to 2025. The analyzed articles included randomized controlled trials (RCTs) and cohort studies. Methodological quality assessment was performed using an instrument from the Joanna Briggs Institute (JBI). A total of 16 studies involving more than 1,000 patients were analyzed. Propofol demonstrated a higher procedure success rate (90.9%) compared to midazolam (83.3%). However, propofol was associated with a higher risk of hypotension (31.5%) and bradycardia (17.1%). On the other hand, midazolam was more hemodynamically stable but had a longer duration of sedation. Propofol is superior in achieving procedural success but carries a higher risk of hemodynamic disturbances. Midazolam demonstrates better stability but is less superior in terms of sedation effectiveness and carries a higher risk of neurological complications and mortality.
The Relationship Between the Degree of Severity of Acne Vulgaris and the Level of Self-Esteem in Students of Private High School Muhammadiyah 02 Medan
Acne vulgaris is often seen on the face which increases a person's self-esteem problem. This study aims to see whether there is a relationship between the severity of acne vulgaris and the level of self-esteem in students of Muhammadiyah 02 Medan Private High School. This study involved 88 student subjects who had acne vulgaris. It is a descriptive analytical study with a cross-sectional design. The collected data were analyzed using the Chi square test. The findings of the study explain that the proportion of the severity of acne vulgaris based on gender is dominated by moderate severity acne vulgaris with male gender, namely 22 people (19.9%). The proportion of the severity of acne vulgaris based on age is dominated by mild severity acne vulgaris aged 17 years (22.3%). The proportion of the level of self-esteem of the majority is in the normal category with a total of 36 people (40.9%). There was a significant relationship between the severity of acne vulgaris and self-esteem levels (p=0.029). The conclusion of this study explains that there is a significant relationship between the severity of acne vulgaris and self-esteem levels in students at Muhammadiyah 02 Medan Private High School.
Partisipasi Anak dalam Pelayanan Kesehatan Ditinjau dari Perspektif Anak: Systematic Literature Review
Children’s participation in healthcare is a crucial component of patient-centered care and the fulfillment of children’s rights. Although widely recognized, the implementation of children’s participation in clinical practice remains suboptimal and is often dominated by adult perspectives. Therefore, a review that examines children’s participation from the children’s own perspective is needed. Methods: This study employed a systematic literature review using the PRISMA approach on 13 scientific articles published between 2021 and 2025. The literature search was conducted through databases such as PubMed, Scopus, and Google Scholar using keywords related to child participation, healthcare, and children’s perspective. Data were analyzed using the PICO framework to identify forms of participation and influencing factors. Results: The findings indicate that children’s participation is multidimensional, encompassing communication, understanding of information, emotional involvement, and expression of opinions within healthcare experiences. Interventions such as play-based approaches, education, and psychosocial support have been shown to significantly enhance children’s participation. However, major barriers include the dominance of paternalistic approaches, limited healthcare professionals’ understanding of children’s rights, and the low level of children’s involvement in decision-making processes. Additionally, family and social environmental factors play an important role in shaping children’s confidence and ability to participate. Conclusion: Children’s participation in healthcare requires a more inclusive, participatory, and rights-based approach. Efforts to enhance participation should focus on age-appropriate communication, active involvement of children, and support from healthcare professionals and families to ensure that healthcare services are more responsive to children’s needs and perspectives.
Scoping Review: Eksplorasi Potensi Senyawa Mangiferin dengan Efek Kardioprotektif sebagai Agen Terapi Terbarukan Penyakit Kardiovaskular
Cardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality worldwide, with increasing incidence among young adults due to unhealthy lifestyles and metabolic risk factors. Current pharmacological therapies face limitations, including suboptimal efficacy and adverse effects, highlighting the need for novel therapeutic agents. Mangiferin, a natural polyphenolic compound derived from Mangifera indica, has recently gained attention for its potential cardioprotective properties. This study aimed to explore the cardioprotective effects of mangiferin and its underlying mechanisms in cardiovascular diseases. This research employed a scoping review approach by systematically identifying and analyzing experimental studies published between 2020 and 2025 from databases such as Google Scholar and ResearchGate. Articles were selected based on predefined inclusion and exclusion criteria, focusing on studies investigating the cardioprotective effects of mangiferin. The findings indicate that mangiferin exerts significant cardioprotective effects through antioxidant and anti-inflammatory mechanisms. It enhances cellular antioxidant defense by activating the PI3K/AKT/Nrf2 signaling pathway, suppresses inflammatory responses by inhibiting NF-kB and cGAS-STING pathways, and reduces apoptosis. Additionally, mangiferin improves endothelial cell viability, decreases oxidative stress biomarkers, lowers pro-inflammatory cytokines, and enhances cardiac function in experimental models. In conclusion, mangiferin demonstrates strong potential as a novel plant-derived therapeutic agent for cardiovascular diseases. Its multi-targeted mechanisms support its role in protecting cardiovascular tissues. However, further clinical studies are required to validate its efficacy, safety, optimal dosage, and bioavailability in humans, as well as to support its development into standardized therapeutic formulations.
Copyright (c) 2026 Naufal Issan Beryldivito Iskandar https://creativecommons.org/licenses/by-sa/4.0
Sensor Akustik Cerdas untuk Pengukuran Tingkat Kebisingan Lingkungan
Noise is unwanted sound generated by an activity at a certain intensity and duration that has the potential to disrupt human comfort and health. Noise has two types of health effects on workers: permanent and temporary. Permanent effects include Noise-Induced Hearing Loss (NIHL), which is a permanent reduction in hearing ability resulting from continuous exposure to loud noise. Meanwhile, temporary effects are known as Temporary Threshold Shift (TTS), which is a temporary hearing impairment that can recover after exposure ceases and the worker receives adequate rest. This study aims to determine the comparison of performance between smart acoustic sensors and Sound Level Meters in measuring noise levels in the workplace. This study is an experimental study using a Posttest-Only Control Group Design. The results indicate that the average noise measurements using the smart acoustic sensor are significantly lower than those from the Sound Level Meter. This difference is attributed to the limited sensitivity of the smart acoustic sensor, as its components consist of low-quality microphones, the absence of a signal amplifier, and a lack of calibration procedures. In contrast, the Sound Level Meter is equipped with a higher-quality microphone, an amplifier, and a manufacturing process that adheres to the international standard IEC 61672-1. Therefore, further improvements are needed, such as replacing the microphone with one of superior specifications, adding a signal amplifier, and performing periodic calibration using standard measuring instruments.
Copyright (c) 2026 Rusdiyatun Nur Annisa, Sigid Sudaryanto, Naris Dyah Prasetyawati, Yamtana Yamtana https://creativecommons.org/licenses/by-sa/4.0
Daya Hambat Ekstrak Kalsium Karbonat (CaCO3) dari Limbah Cangkang Telur Bebek (Anas platyrhynchos domesticus) terhadap Pertumbuhan Bakteri streptococcus mutans
Good oral and dental health is essential for improving quality of life and human productivity. Dental caries is a chronic disease that develops gradually, beginning with the appearance of white spots caused by plaque accumulation. Plaque forms due to the activity of microorganisms such as Streptococcus mutans, which plays a role in lowering the pH of the oral cavity, thereby triggering tooth demineralization. Eggshells contain calcium carbonate and other compounds with antibacterial nanoparticle properties. These components have the potential to inhibit bacterial growth, including Streptococcus mutans, and may serve as an alternative for preventing dental caries through plaque control and oral pH regulation. The aim of this study was to determine the inhibitory effect of calcium carbonate extract derived from duck eggshell waste (Anas platyrhynchos domesticus) against Streptococcus mutans. This research employed an experimental laboratory method with statistical analysis using One-Way ANOVA. The samples in this study consisted of five concentrations: 15%, 20%, 25%, 30%, and 35%. The results showed that all concentrations exhibited strong inhibitory activity against Streptococcus mutans. In conclusion, the alternative hypothesis of this study was accepted, and the findings demonstrated that concentrations of 15%, 20%, 25%, 30%, and 35% showed a significant increase in effectiveness. This indicates that calcium extract from duck eggshells (Anas platyrhynchos domesticus) contains bioactive compounds capable of inhibiting the growth of Streptococcus mutans.
Copyright (c) 2026 Mila Febriany, Kurniaty Pamewa, Rini Pratiwi, Andy Fairuz Zuraida Eva, Nur Aqilah https://creativecommons.org/licenses/by-sa/4.0
Hubungan Pengetahuan dengan Pola Makan pada Penderita Hipertensi di Rumah Sakit Umum Wisata Universitas Indonesia Timur Makassar
Hypertension is a major global health problem closely associated with unhealthy dietary patterns and an increased risk of cardiovascular diseases. Knowledge regarding hypertension and dietary management plays an important role in shaping patients’ eating behaviors. This study aimed to analyze the relationship between knowledge and dietary patterns among hypertensive patients at RSU Wisata, Universitas Indonesia Timur, Makassar. This study employed a quantitative design with a cross-sectional approach. A total of 40 hypertensive patients were selected using accidental sampling. Data were collected using structured questionnaires measuring respondents’ knowledge and dietary patterns. Knowledge was categorized as good or poor, while dietary patterns were classified as healthy or unhealthy. Data were analyzed using the chi-square test. The results showed that most respondents had good knowledge; however, the majority still exhibited unhealthy dietary patterns. Statistical analysis indicated a significant relationship between knowledge and dietary patterns (p = 0.031; p < 0.05). In conclusion, there is a significant relationship between knowledge and dietary patterns among hypertensive patients. However, good knowledge does not necessarily translate into healthy dietary behavior, indicating the need for continuous health education to improve dietary adherence among patients with hypertension.
Copyright (c) 2026 Asmaul Husnah, Nursyamsiyah Nursyamsiyah, Nur Qamariyah, Astuti Astuti, Sriwahyuni Sriwahyuni https://creativecommons.org/licenses/by-sa/4.0
Dinamika Regulasi Emosi pada Dewasa Awal yang Pernah Melakukan Self Harm
This study aims to examine the dynamics of emotion regulation in early adults who have a history of self-harm. This research uses a qualitative method with a phenomenological approach, involving three respondents selected through purposive sampling. Data were collected through in-depth interviews, observation, and documentation, and analyzed using the Miles and Huberman model. The findings show that self-harm behavior in all respondents was triggered by emotional pressures such as family problems, bullying, and lack of emotional support. The forms of self-harm included cutting, piercing, and hitting the body as a way to release emotions. Over time, the respondents began to develop better emotion regulation by shifting these behaviors into other activities such as self-care, eating, riding motorcycles, hiking, and even damaging objects as a form of emotional release. In addition, factors such as family environment, religiosity, personality, age, gender, and psychological condition were found to influence the emotion regulation process. Overall, the respondents showed positive changes toward more adaptive ways of managing emotions and reducing self-harm behavior.
Copyright (c) 2026 csacac https://creativecommons.org/licenses/by-sa/4.0
Hubungan Usia Ibu Hamil dengan Kesiapan Menjadi Orang Tua di Puskesmas Ajung
In Readiness for parenthood is a crucial factor that every pregnant woman must possess to ensure the success of child-rearing and optimal child development. One of the factors influencing this readiness is the maternal age. Being too young or too old can affect a mother's mental, emotional, and cognitive preparedness to take on the role of a parent. Therefore, it is important to examine the extent to which maternal age is associated with readiness to become a parent.. This study aimed to examine the relationship between pregnant women and parental readiness at the Ajung Community Health Center. The research used an observational analytic descriptive design with a cross-sectional approach. The population consisted of 102 respondents, while the sample included 88 respondents selected through purposive sampling. Data processing was conducted using SPSS, and data analysis was performed using the Chi-Square test. The study showed that the majority of respondents were in the 20-35 age group (84.1%, n=74), and most fell into the "ready" category for parenthood (87.5%, n=77). Statistical analysis obtained a Fisher's Exact Test value of 0.000 (p-value < 0.05). Individuals in early to middle adulthood are generally at a more stable stage of psychological development, possessing better emotional capacity, knowledge, and a greater sense of responsibility in fulfilling the role of a parent. This age range also aligns with the ideal reproductive age, where the risk of pregnancy complications is relatively low and mental readiness tends to be more optimal.
Copyright (c) 2026 Fitrotin Azizah, Kiswati Kiswati https://creativecommons.org/licenses/by-sa/4.0
Peran Indeks Massa Tubuh, Kadar Hemoglobin, dan Status Pendidikan Ibu terhadap Berat Badan Lahir Bayi: Tinjauan Literatur
Low birth weight (LBW) remains a significant global health issue contributing to high infant morbidity and mortality rates. Maternal factors such as body mass index (BMI), hemoglobin levels, and maternal education status play crucial roles in determining neonatal birth weight. This study aims to analyze the relationship between BMI, hemoglobin levels, and maternal education status on infant birth weight through a literature review approach. The method employed was a literature review by searching scientific articles from Google Scholar, PubMed, and ScienceDirect databases within the 2016–2026 period. Inclusion criteria included full-text research articles relevant to the topic, utilizing both quantitative and qualitative study designs. The findings indicate that low maternal BMI is associated with an increased risk of LBW due to inadequate nutritional intake during pregnancy, while low hemoglobin levels (anemia) contribute to impaired oxygen supply to the fetus. Additionally, low maternal education status affects health literacy and access to antenatal care, indirectly increasing the risk of LBW. Overall, these three factors are interrelated in influencing infant birth weight. Therefore, comprehensive interventions through improving nutritional status, preventing anemia, and enhancing maternal health education are essential strategies to reduce the incidence of LBW.
Copyright (c) 2026 Nabila Athifa Puspadewi, Fiona Paramitha https://creativecommons.org/licenses/by-sa/4.0
Studi Eksperimental Pengaruh Pemberian Ekstrak Kunyit terhadap Jenis Keputihan pada Remaja Putri di SMA Islam Al Hikmah Mayong Jepara
Flour Albus is still an under-researched case of women's health despite its universal prevalence. This study aims to determine the effect of administering turmeric extract on the type of vaginal discharge in female adolescents at Al-Hikmah Islamic High School, Mayong, Jepara, West Java. The subjects in this study were all adolescent with patology flour albus found in a Al-Hikmah Islamic High School in Mayong, Jepara, West Java, Indonesia, in 2025. The data used in this study are prime data obtained from the students. This type of research is quasi-experimental, with a non-randomized control group pretest-posttest design, as sampling was not random. Both groups received pre- and post-tests. Data processed using univariate and bivariate analysis with the Wilcoxon signed rank test. Based on the bivariate analysis Descriptive data are presented as numbers and percentages for categorical data.Based on bivariate analysis, the results showed that in the intervention group, all respondents experienced a decrease in pathological vaginal discharge to physiological vaginal discharge with a mean rank of 12.50. Meanwhile, in the control group, the majority of respondents experienced pathological vaginal discharge, as many as 17 respondents with a mean rank of 10.05, and 7 respondents experienced a change in the type of fluor albus. There was an effect of reducing the type of fluor albus with turmeric extract on female students at Al Hikmah Islamic High School, Mayong, Jepara, with a mean rank of 12.05. Management in cases of Patology Flour Albus It is hoped that giving extra turmeric to students can be an additional therapy to overcome pathological fluor albus and can be balanced with a healthy diet and regular exercise.
Copyright (c) 2025 Resty Prima Kartika, Devi Rosita, Yuni Noraini https://creativecommons.org/licenses/by-sa/4.0
The Influence of Health Service Quality Dimensions on The Satisfaction Level of Inpatients at Cut Nyak Dhien General Hospital, Langsa City
The dimensions of healthcare service quality are a concept for measuring service quality. This study aims to determine the effect of healthcare service quality dimensions on inpatient satisfaction at Cut Nyak Dhien General Hospital, Langsa City. This study used a quantitative survey analytic design with a cross-sectional approach. The population consisted of 121 inpatients, with a sample of 55 respondents selected using purposive sampling technique. Data were analyzed using multiple logistic regression test with alpha = 0.05. The results showed that responsiveness (p = 0.042; EXP(B) = 11.361), assurance (p = 0.008; EXP(B) = 20.163), empathy (p = 0.018; EXP(B) = 13.547), and reliability (p = 0.033; EXP(B) = 6.896) significantly influenced inpatient satisfaction, while tangible variable showed no significant effect (p = 0.088; EXP(B) = 4.967). The most influential variable was assurance with p = 0.008 and EXP(B) = 20.163. It is recommended to continuously improve service quality comprehensively in every dimension, strengthen healthcare personnel competence and professionalism, enhance service speed and accuracy, and build good communication to improve inpatient service quality and maintain patient trust in the hospital.
Copyright (c) 2026 Putri Riskina, Megawati Megawati https://creativecommons.org/licenses/by-sa/4.0
Hubungan Etnis dengan Perilaku Penggunaan Tabir Surya pada Murid SMA Harapan 1 Medan
Ultraviolet (UV) light is light emitted by the sun that can reach the earth's surface. The effects that can be caused by UV exposure include pigmentation, erythema and photosensitivity. Continuous exposure of the skin to UV radiation can cause chronic or long-term effects such as premature aging and malignancy or increased risk of skin cancer such as melanoma. Most premature aging and skin cancers can be prevented with the consistent use of effective sun protection strategies, including the application of broad-spectrum sunscreen, wearing protective clothing, seeking shade, and avoiding tanning. The World Health Organization (WHO) recommends the use of sunscreen to protect the skin from direct sunlight. To determine the relationship between ethnicity and behavior of Harapan 1 Medan high school students towards the use of sunscreen. This study is an observational analytical study, applying a cross-sectional research method. The study was conducted on students of SMA Harapan 1 Medan using a questionnaire. The analysis test used was chi-square. There is a significant relationship between ethnicity and sunscreen use (p = 0.004) in students of SMA Harapan 1 Medan. The behavior of sunscreen use is not only determined by individual factors but is also influenced by the social, cultural, and environmental context of the ethnicity concerned.
Copyright (c) 2026 Ridho Ramadhan Nasution, Arridha Hutami Putri, Hervina Hervina, Febrina Dewi Pratiwi Lingga https://creativecommons.org/licenses/by-sa/4.0
Determinan Kejadian Koinfeksi Tuberkulosis-HIV pada Orang dengan HIV (ODHIV)
Tuberculosis-HIV coinfection remains a serious global health burden, particularly in developing countries. This systematic review aims to identify the determinants of TB-HIV coinfection among People Living with HIV (PLHIV) based on publications from 2020 to 2026. A systematic search was conducted in the Scopus database following PRISMA 2020 guidelines, with study selection using the PICO framework for analytical observational studies in adult PLHIV. Twelve articles met the inclusion criteria, revealing that determinants of TB-HIV coinfection include sociodemographic factors age >= 40 years, male sex, low education, urban residence), clinical-immunological factors (CD4 <200 cells/mm³, WHO stage III/IV, malnutrition, opportunistic infections, history of TB), and treatment-related factors (no or poor adherence to ART, unsuppressed viral load, lack of prophylaxis). The most consistently reported dominant determinants were low CD4 count, advanced clinical stage, and absence of ART. Therefore, the main determinant of TB-HIV coinfection is severe immunosuppression due to uncontrolled HIV, highlighting that early HIV detection, immediate ART initiation, prophylactic therapy, and regular monitoring are key evidence-based prevention strategies.
Copyright (c) 2026 Danty Evelyn Clarissa, Rico Januar Sitorus, Najmah Najmah https://creativecommons.org/licenses/by-sa/4.0